Active NPI
James J. Conner Jr., LAT, ATC
- Athletic Trainer
- Bala Cynwyd, PA
National Provider Identifier
1568905594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- RT005934
- Practice address
- 100 Presidential Blvd
Bala Cynwyd, PA 19004-1108 - Phone
- (609) 680-9531
- NPI assigned
- Nov 22, 2016
- Last updated
- Nov 22, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | RT005934 | PA | Primary |
Addresses
Primary practice location
100 Presidential Blvd
Bala Cynwyd, PA 19004-1108
Mailing address
9 Oak Knoll Dr
Wallingford, PA 19086-6315
Phone (609) 680-9531
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RT005934 | PA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479772800000",
"number": "1568905594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 OAK KNOLL DR",
"city": "WALLINGFORD",
"state": "PA",
"postal_code": "190866315",
"telephone_number": "609-680-9531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 PRESIDENTIAL BLVD",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "190041108",
"telephone_number": "609-680-9531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNER",
"first_name": "JAMES",
"middle_name": "J.",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "LAT, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-11-22",
"last_updated": "2016-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "PA",
"license": "RT005934",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bala Cynwyd, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.